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A Framework for Difficult Decision-Making

Fink-Samnick, Ellen MSW, ACSW, LCSW, CCM, CRP


In the article mentioned above, the fourth step of the “E-Act: The Model” was not included in the text. The complete fourth step is included below and should have appeared after the following sentence on page 209, “This step ensures that the sudden insecurity, which accompanies any difficult decision, is addressed.”

The fourth step, Transcribe Notes , is a modern framing of the popular adage, ‘document, document, document’. All case managers know the importance of documentation to the process at hand. In mandatory reporting situations, it is especially imperative that professionals of all disciplines take the time to accurately document the facts plus what actions are undertaken. The term, transcribe, represents more global perspective of documentation, with the definition:

This step insures that case managers use whatever mode of documentation is in place at their employer, whether electronic and/or hard copy. The mantra continues to apply; if it's not documented, it's not done!

Professional Case Management. 20(5):250, September/October 2015.

doi: 10.1097/NCM.0000000000000104
Departments: Case Management Matters

Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, is principal of EFS Supervision Strategies, LLC. Known and respected as “The Ethical Compass of Case Management.” She is a popular presenter and esteemed author with many publications across diverse media.

Address correspondence to Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, EFS Supervision Strategies, LLC, Burke, VA 22015 (

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Ellen is adjunct faculty for George Mason University's College of Health & Human Services, Director of Social Work Education for Athena Forum, LinkedIn Moderator for Ellen's Ethical Lens©, trainer for the National Association of Social Workers, and serves as a current Editorial Board Member for Lippincott's Professional Case Management Journal.

Ellen has served as a Commissioner for CCMC and Chair of their Ethics & Professional Conduct Committee, plus in a variety of leadership roles amid the industry's professional associations. She is a vibrant and revered professional voice.

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